CCCRIC LLC NPI 1760814644

NPI Information

CCCRIC LLC is a hematology and oncology internal medicine in Englewood, CO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CCCRIC LLC NPI is 1760814644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

799 E HAMPDEN AVE STE 500
ENGLEWOOD, CO
ZIP 80113-777
Phone: (303) 788-8675
Fax: (303) 788-8489

The provider's authorized official is Janice Halvorson .
The authorized official title is Practice Administrator and has the following contact phone number (303) 788-8675.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 5/12/2014.

Taxonomy Codes

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